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1. Prepare examples of various coding and billing issues that you have experienced in the clinical setting (Peds and women’s health).

2. Provide a brief description about the NPI numbers for nurse practitioners.

Read the following article:

https://journals.lww.co m/jwocnonline/Fulltext/ 2012/03001/Reimburse ment_of_Advanced_Pra ctice_Registered.4.aspx

No single word responses (at least 100+ words in each response)

Give examples

Cite resources

Give the questions some thought and answer honestly

Number your answers to correspond with the question

Worth 12 points / 5%

Questions:

1 . Describe a time spirituality was important in your life or that of someone you love or cared for (e.g., family member, friend, patient). Why was it meaningful in that situation?

2.  What would you do if a patient asked you to pray with them or read the Bible or another holy book he/she might have at the bedside? How would this request make you feel? Would you experience any conflict if you were a different faith than the patient? Explain your answer.

3.  There is something called scripting which is having something written and memorized for difficult situations. Write a prayer or spiritual message you could use in the above situation. Explain why you chose those words.

Bi-weekly Practicum Journaling

Throughout this course you have been describing your clinical activities in your journal. This week you will focus on a specific topic related to your practicum experience. 

Write a brief (300-word) personal reflection describing interprofessional collaboration during your experiences in the clinical setting. Reflect on your efforts as a team member to move a client along the health continuum.

Please consider the following areas:

• What professions did you interact with?
• What challenges did the interprofessional team had to overcome to deliver competent care?
• How did the interprofessional care enhance the status of a client/population?
• How might this experience affect your future practice?

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

ZERO PLAGIARISM

5 REFERNCES

n the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.
• Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
• Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

By Day 3 of Week 9

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.

Write a 175- to 265-word response to the following: 

• Should self-awareness encourage you to alter your behavior to accommodate external pressures, or should it empower you to become steadfast in your identity? Defend your answer. 
• If people are likely to be biased or unfair in their assessment of you, how can you trust others to provide helpful criticism? 

Reply 1

 CAT: For the research of relationship of smoking and lung cancer, is it an experimental, quasi-experimental, and nonexperimental research? Why 

Reply 2

Experimental Group: The group in a research study that receives the experimental drug, treatment, or procedure (Helbig, 2018).

Experimental [Randomized] Research Design: A type of quantitative research design that is highly controlled to study cause and effect with independent and dependent variables (Helbig, 2018).

• Example: Researcher manipulates one or more areas (independent) in the effects of temperature and humidity on work performance with at least two variables (high temp, low humidity and low temp, high humidity, etc.) within as many different workplace settings as available. The researcher could then measure the performance of workers in each condition (dependent) (Stone-Romero, 2011).

Quasi-Experimental Research Design: A type of quantitative research design that is partially controlled that studies cause and effect of variables (Helbig, 2018). No randomization.

• Example: People received performance-contingent pay based on their work but their supervisors would be responsible for the planned and unplanned treatment (performance-contingent treatment) or if their supervisor did not deliver as planned could offset the design (Stone-Romero, 2011). The studies need to be fair across the board and we cannot guarantee that all supervisors will “grade” their employees on the same scale or fairly, people are picked accordingly without randomization but can be useful when experimental experiments are not possible.

Nonexperimental Research: A research study that does not involve an experimental drug, treatment, or procedure (Helbig, 2018). Quantitative or qualitative.

• Example: Causes are assumed to be measured instead of manipulated; studying the relation between job enrichment and satisfaction. This is not a randomized study the data are collected from units that have independent variable from unknown causes. “The assumption would be erroneous if the self-reports systematically as a function of factors other than objective levels of enrichment” (Stone-Romero, 2011). Since this design deals with measured levels, it can be found to have very low levels of validity. This type of design may be more likely to be manipulated since it is measured instead of manipulated so there may be “favoritism” so this type should be avoided if possible.

The differences between each can be seen in the definitions but an experimental research design is quantitative that is highly controlled study where the dependent and independent variables matter, quasi-experimental is also quantitative but is only partially controlled with no randomization, and last, nonexperimental it is research that does not involve experimental drugs, treatments or procedures; it can be qualitative or quantitative.

 References
Helbig, J. (2018). Applied statistics for health care.Retrieved from https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/
Stone-Romero, E. F. (2011). Research strategies in industrial and organizational psychology: Nonexperimental, quasi-experimental, and randomized experimental research in special purpose and nonspecial purpose settings. In APA handbook of industrial and organizational psychology, Vol 1: Building and developing the organization. (pp. 37–72). American Psychological Association. https://doi-org.lopes.idm.oclc.org/10.1037/12169-002

Please use this reference To base the care plan.

The assignment has to be on a patient with uncontrolled hypertension and cardiac issues  This patient was re admitted to the hospital (cardiac/telemetry unit) because of the on going Controlled hypertension And possible heart attack.  

Instructions

Evaluation of Plan Effectiveness Criteria

Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, planned to implement one intervention in a small group from the aggregate, and considered the effectiveness of the intervention on the health of the small group. It is time now for you to present your final submission of this Capstone project.

In a Microsoft Word document of 6-7 pages formatted in APA style, you will describe your project and evaluate the effectiveness of the intervention you implemented.

Include the following in your paper:

• A detailed description of the aggregate.
• A description of the aggregate’s strengths and weaknesses.
• A risk assessment of the aggregate.
• Diagnoses based on the risk assessment.
• A detailed care plan for the aggregate.
• A description of how at least one intervention was implemented in the aggregate to address an identified issue.
• An evaluation of the effectiveness of the intervention (this section should be 2-3 pages of your paper) and include the following:
  • Did I implement the intervention as planned? If not, what were the reasons?
  • Are there visible signs of success (for example, reduced health issues)? If yes, describe.
  • Interview/measure outcomes for two or three members of your group to determine/measure the effectiveness of the intervention(s).
    • Include transcripts of the interviews with the participants from the group in the appendix of your paper.
  • Finally, compare the projected effectiveness of your plan before implementation with the actual effectiveness after implementation.
  • You may want to use the responses to the above two criteria to measure the actual effectiveness of the intervention.

On a separate references page, cite all sources using APA format. Please notethat the title and reference pages should not be included in the total page count of your paper.

Read Chapter on Davis Plus: Discussion of Triaxial of action: Policy, Politics,and Nursing

1- What is Policy?

2- Explain each of them:  

Public policy—

Private policy—

Health policy—

Social policy—

Organizational policy?

3- Who was Florence Nightingale, and what was her contribution to the Nursing Field? 

4- Who was Lillian Wald?

5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?

   (NLCA) and they do?

Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient as a practice acceptable for nurses to perform. Jeanne and some of her coworkers shared their concern over lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and other potential medical complications resulting from this practice. Jeanne gathered data from her state and many others states and noted that her hospital was not in compliance with her professional organization practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the state board of nursing on their behalf to request a declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. Her state board’s clinical practice committee reviewed her request for a declaratory statement and gathered information from other states. A formal declaratory statement was drafted by the board and made it available on its Web site. A letter from the board was sent to Jeanne’s institution, informing it of the declaratory statement, which stated that the task nurses were requested to perform was beyond their scope of practice based on the Nurse Practice Act.

8-Which stage of the policy model does above scenario represent?  

reply1

Complementary medicine refers to non-mainstream practice used together with conventional medicine while alternative medicine refers to a non-standardized practice used in place of conventional medicine. (NIH, 2018). Complementary and alternative medicine are often used to describe a wide variety of products or practices that are used outside standard Western Medical practice for treating disease and incorporates a wide variety of beliefs. A physician prescribing biofeedback in addition to standard medicines to treat symptoms of chronic headache would be using a complementary approach while another physician who uses only herbal preparation to treat these headaches rather than use conventional means would be using an alternative approach. (Falvo,2011). 

Integrative Medicine, on the other hand, is holistic care that addresses the full range of influences that affect the patient’s health such as physical, emotional, mental, social, spiritual, and environmental factors. Complementary medicine includes two main groups, namely; natural products and mind and body practices. Natural products include botanical herbs, vitamins, minerals, and probiotics. Mind and body practices refer to yoga, biofeedback, hypnosis, meditation, deep breathing exercises, guided imagery, therapeutic touch, Tai Chi, massage therapy, music therapy, chiropractic, and osteopathic manipulation. Mind-body therapies affect the mind’s ability to influence physiological functions, improve feelings of well-being, and are used increasingly in cancer care settings because of recent evidence that they enhance the quality of life of these patients. (University of Manitoba, 2020). The use of herbal medicines is much more controversial because there is inadequate knowledge regarding their mode of action, efficacy, side effects, contraindications, and adverse interactions, particularly when used with conventional drugs. Public safety is a major concern with the use of herbal drugs.

According to Bishop and Lewith, (2010) there is reasonably consistent research evidence that CAM users tend to be educated, middle-aged females with more than one medical condition as indicated by a number of bivariate tests based on whether gender and or education is associated with CAM use. However, people across all aspects of society, gender and socioeconomic status use CAM for a wide range of physical and psychological conditions, and some without any specific conditions use it for health maintenance. The use of vitamins and mineral supplements have become commonplace in many households. Massage has also become a popular therapy recognized by health professionals and patients as beneficial for reducing anxiety, stress, depression, and fatigue.

References

Bishop, F., Lewith, G. (2010). Who uses cam? A narrative review of demographic characteristics and health factors associated with cam use. https://www.ncbi.nlm.nih.gov/articles/PMC2816378/

Falvo, D. (2011). Effective patient education. A guide to increased adherence. https://viewer.gcu.edu/RQBKXW

National Center for Complementary and Integrative Health, (2012). Complementary alternative or integrative health. What’s in a name? https://nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-ln-a-name

University of Manitoba. ( 2020). Complementary alternative and integrative medicine. https://www.cameoprogram.org/about-cam/

reply2

CAM stands for complementary and alternative medicines. These are medicines, treatments, or health practices that are not traditional in health care or utilized as a first choice treatment for an illness (Bishop & Lewith, 2010). CAM is usually used instead of the standard treatment offered. Some examples of CAM options includes meditation, yoga, massage, acupuncture, prayer group, biofeedback, herbalism, etc. Evidence has shown that the typical person that uses CAM is usually middle age females, that might have more than one medical condition (Bishop & Lewith, 2010). However, thinking about my personal practice and experience with patients, CAM has become more popular and used by a variety of individuals, regardless of their gender, age, or medical conditions. I have seen that some providers hesitate to offer or talk about CAM because it still isn’t considered traditional or conventional health care. I am a psych and addiction medicine nurse that has experience working in facilities where they offer these type of services and it is actually a part of the treatment plan. CAM is not commonly used in health care because it seems to be most effective for side effects of illnesses or treatments like radiation or chemotherapy. It is not for every patient, but I personally think everyone should have the option or education provided about CAM.

References:

Bishop, F. L., & Lewith, G. T. (2010). Who Uses CAM? A Narrative Review of Demographic Characteristics and Health Factors Associated with CAM Use. Evidence-based complementary and alternative medicine : eCAM, 7(1), 11–28. https://doi.org/10.1093/ecam/nen023

The Use of Complementary and Alternative Medicine in the United States: Cost data [PDF].

(2007). National Institutes of Health. https://files.nccih.nih.gov/s3fs-public/NHIS_costdata.pdf

Radhakrishnan, R.(2009).Prayer and healing: A medical and scientific perspective on randomized control trials. https://ncbi.nlm.nih.gov/pmc/articles/PMC2802370/

Tippens, K., Marsman, K., Kwickey, h, (2010). Is prayer cam? Journal of Alternative and Complementary Medicine. https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC3004781/

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics